ATI RN
Assessment and Management of Newborn Complications Quizlet Questions
Question 1 of 5
The nurse in NICU is assessing a neonate delivered at 32 weeks gestation. Which pathophysiological manifestation is the nurse’s greatest concern?
Correct Answer: C
Rationale: The correct answer is C: Apnea 20 seconds or longer. In a neonate delivered at 32 weeks gestation, apnea lasting 20 seconds or longer is the greatest concern as it indicates immature respiratory control and potential for respiratory distress or failure. Absent or weak reflexes (A) may be common in premature infants but are not as critical as respiratory issues. A heart murmur (B) may be present due to structural heart defects, but apnea poses a more immediate threat. Low hemoglobin (D) may indicate anemia, which can be managed with appropriate interventions, unlike compromised respiratory function.
Question 2 of 5
The NICU nurse encourages the mother of a premature neonate to bring breast milk to the unit for enteral feedings to her baby. For which reason does the nurse make this suggestion?
Correct Answer: D
Rationale: The correct answer is D because breast milk helps prevent necrotizing enterocolitis (NEC) in premature neonates. Breast milk contains protective factors that reduce the risk of NEC, a serious gastrointestinal condition common in preterm infants. Other choices are incorrect: A is not directly related to feeding breast milk, B focuses on emotional involvement rather than physiological benefits, and C does not address the specific health benefits of breast milk in preventing NEC.
Question 3 of 5
The nurses in a NICU are concerned about the appropriate levels of oxygen therapy during the care of premature neonates. The nurses referenced an article by Newman (2014) titled, “Oxygen Saturation Limits and Evidence supporting the Targets.” On which evidence-based conclusion will the nurses develop guidelines?
Correct Answer: B
Rationale: The correct answer is B: Oxygen saturation rates of 91% to 95% are effective. This range is supported by the article by Newman (2014) as the optimal oxygen saturation levels for premature neonates. Here's the rationale: 1. The range of 91% to 95% falls within the typical target range for oxygen saturation in premature neonates, ensuring adequate oxygenation without the risk of hyperoxia or hypoxia. 2. Maintaining oxygen saturation within this range has been shown to improve outcomes and reduce the risk of complications in premature neonates. 3. The article by Newman likely provides evidence-based research supporting this specific range as the most effective for neonatal care. In summary, choices A, C, and D are incorrect because they do not align with the evidence-based optimal oxygen saturation range for premature neonates as supported by the referenced article.
Question 4 of 5
The nurse notices that a neonate being treated for hyperbilirubinemia with phototherapy has had a daily increase of total bilirubin serum levels greater than 5 mg/dL for the past 2 days. The neonatal care provider prescribes an exchange transfusion. Which knowledge does the nurse apply to the procedure?
Correct Answer: A
Rationale: The correct answer is A because a daily increase of total bilirubin levels greater than 5 mg/dL in a neonate being treated for hyperbilirubinemia with phototherapy indicates severe hemolytic disease. This condition requires an exchange transfusion to remove excess bilirubin and replace damaged RBCs. Choice B is incorrect as the percentage of RBCs replaced during an exchange transfusion is closer to 50-60%. Choice C is incorrect as donor RBCs are typically obtained from a blood bank, not the neonate's mother. Choice D is incorrect as an exchange transfusion may be necessary for severe hyperbilirubinemia of various etiologies, not exclusively pathological jaundice.
Question 5 of 5
The nurse is providing support to a mother whose newborn is diagnosed with a life-threatening defect. The mother states, “I just want to go home and never come back.” Which reaction by the mother does the nurse recognize?
Correct Answer: C
Rationale: The correct answer is C: Maternal emotional distancing. The mother's statement of wanting to go home and never come back indicates a desire to emotionally distance herself from the situation. This reaction is a common coping mechanism when faced with overwhelming emotions. Guilty feelings (choice A) typically involve a sense of responsibility or remorse, which is not evident in the mother's statement. Delay of attachment process (choice B) refers to difficulties in forming an emotional bond with the newborn, which is not explicitly mentioned in the scenario. Disruption of family life (choice D) implies changes in family dynamics, which are not directly related to the mother's expressed desire to distance herself emotionally.